KAUSIKA NAGA MADDALI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184458

License Status

NOT RENEWED

Business

First Name

KAUSIKA

Middle

NAGA

Last Name

MADDALI

Business Name

KAUSIKA NAGA MADDALI

Original Issue Date

05/21/2008

Effective Date

02/19/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015